CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lewisgale Hospital Montgomery

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $4,085
Cash Discount Price: $6,808
vs. Medicare Baseline: 16.76x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lewisgale Hospital Montgomery is $4,085. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,808. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.76x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$6,808

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,085

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $6,808 (2793%)

Insurance Median: $4,085 (1676%)

Cash: $6,808 (2793% of Medicare)

Ins. Median: $4,085 (1676% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1676% of the Medicare baseline (a markup of 1576%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$286 - $944	117%
United	$518 - $3,064	212%
Cigna	$1,185	486%
Lifeworks	$1,294	531%
Universal Healthcare Group	$1,498	615%
Virginia Health Network	$2,383 - $4,834	978%
Aetna	$2,994 - $4,644	1228%
Greenvbrier Sporting Club	$4,085	1676%
Corvel	$4,902	2011%
Richfield Nursing Center	$5,106	2095%
Richfield Retirement Community	$5,106	2095%
Multiplan	$5,242	2150%
Community Care Network	$5,446	2234%
Graham-White Manufacturing	$5,446	2234%
Occunet Workers Comp	$5,446	2234%
One Health Plan	$5,446	2234%
Phcs	$5,787	2374%
Patients Choice	$5,991	2458%
4Most	$6,127	2513%
American Postal Workers Union	$6,127	2513%
Star Transportation	$6,127	2513%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $6,808.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lewisgale Hospital Montgomery is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.